4272 Boulder Ridge PtDate:
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECE WED
MAY 22 3 2011
i 1011 RESIDENTIAL PLUMBING P
(")° IS' Site Address: '7 7 P 6trui
Tenant: Ocwic Et `'v
Use BLUE or BLACK Ink
Permit #: " ! 69 0
Permit Fee: 64' DO
Date Received:
Staff:
RMIT APPLICATION
J
Suite #:
RESIDENT / OWNER
Name: W,6 6 cC ? Phone: U''? l G2 s-6 60 S R
Address / City / Zip: 1073 60-thl 1/4e,/91- Fa j % MA)
CONTRACTOR
Name: A ndiana^;P C " as c ( n "`; License#:
Address: 131 City:
State: Zip hakor ' P i ne:
Contact: -Email:
TYPE OF WORK
New Replacement Repair Rebuild Modify Space Work in R.Q.W.
_ _ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
) Water Softener
Water Heater
Add Plumbing Fixtures ( Main / Level)
_Lower
Lawn Irrigation (_ RPZ / PVB)
Water Turnaround
Septic System
New
_
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation
$55.00 Add Plumbing
*Water Turnaround
$105.00 Septic System
$95.00 Fire Repair (replace
(includes $5.00 State Surcharge)
Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) ".-•-
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accord nee with the approv d plan in the case of work which requires a review and approva • •lans.
x dTi7
Applicant's Printed Name
x
Applic
s Signature
401'
City of Mau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
DEC u 5 2011
Use BLUE or BLACK Ink
E.00 ce
Permit #: /v
Permit Fee:
Date Received:
Staff:
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 012,S/7011 Site Address: t ? % 1 -L I % -1240(--9 / -- — 55/ c?
Tenant: Suite #:
RESIDENT / OWNER
Name: V( Irl
Address / City / Zip: ."11* .C_,
Phone:
CONTRACTOR
Name: Appliance Connections Inc License #: 057 69 O9- ern
Address: 1313 Dani* Cr City:
State: $ iakopee, Mt 55379
one:
Contact,IfY►IL ' • Email:
TYPE OF WORK
New replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
KWater Heater
Lawn Irrigation (RPZ / PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ ' D"ter
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the race of inrk which requires .. review and _____.i _r plans. -
(Qi
Ap icant's Printed Nam
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Reviewed By: Date:
Under Ground Rough-ln Air Test Gas Test Final
CITY' OF EAGAN Permit No: Date:
3830 Pilot Knob Road Meter No: Size:
< °.O. Box 21199 Reader No: Date:
Eagan, MN 55121
Owner:
Site Address:
Plumber.
Conn. Chg: Zoning:
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: I agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter:
Misc.: By/4t/i.44.4
WATER SERVICE PERMIT (,S
•
•
CITY CIF EAGAN Permit No: Date:
3830 Pilot Knob Road B/P No: Date:
P.O. Box 21199
Eagan, MN 55121
Owner:
Site Address:
Plumber: —
MWCC: Zoning
City Chg: No. of Units:
Acct. Dep: I agree to comply with the City of Eagan
Permit Fee: Ordinances.
Surcharge:
Misc.: By
SEWER SERVICE PERMIT
•
•
•
Sep. 25. 2013 10:47AM Property Claim Solutions No. 1291 P. 5
Use BLUE or BLACK Ink
For Office Use i
y
LIZ • ~2(o Lo~, L-t Eq ; Permit r I X31
y of Eap '
3830 Pilot Knob Road
2 l r ; Permit Fee: -f , 0/6 Eagan MN 55122 Date Rscelved: ~3 I
47i -7, 1 q101r 11
Phone: (651) 675-5675 I
Fax: (651) 675-5694 1 Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
``YV .::•.'i.; , v:`<: Name: Phone: I
tWoo' ~ ,p I
?Qwnflr r' Address / City /Zip,
JJA
Applicant is: Owner Contractor
Description of work:1~CX ,t.)Y1 ~QCA ~tGl('Y1
Construction Cost: Multi-Family Building: (Yes /No w,? :°k x abet: Company: Contact
l
„v
I
7 Address:
-Lai
:Garit.cQ. CS6
C'h':
State: _DZp: ( c Phone: ' c
License L O Lead Certificate
If the project is exempt from lead certification, please explain why: (see page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A hIEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan: j
Licensed Plumber: Phone:
i
Mechanical Contractor: Phone:
Sewer R Water Contractor: Phone:
I
NOTES Plans aid support/ng:doc`urrieh`0th atyou sdtimif;are corisidaliad:ao`be. `ublic•iriformatlPo `i'
J
the lnformatrQn maybe ciass/fied as non: publ/c q6; f providespec~f~c;7e880ns titaf would permltaife: Citji`fo
conc/ude •a ha tlh'
a are trade:secrets;'
CALL BEFORE YOU DIGS. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to receive locates of underground utilities, www.aooherstateonecall.om
i
I
I hereby acknowledge that this information is complete and accurate; that the work will be In Conformance with the ordinances and codes of the City of '
Eagan; that I understand this Is not a oermit; but only an application for a permit, and work Is not to start without a permit: that the work will be in I
accordance with the approved plan in the case of work which requires a review and approval of plans.
i
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 18o i
days of permit issuance.
X ` PL
-&L - Applicant's tinted Name App cans gnature
Page 1 of 3 i
i
.__..__Nov, 6. 2013. 11:01AM . Property Claim Solutions..^_. _..No. 1669 . P. 2
Boulder Ridge-1013279 Use BLUE or BLACK Ink
For Office Use 4
j Permh
Ciq of Din
I Permit Fee: I
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675,6675 I I
Fax: (651) 6755694 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 11-4-13 Site Address: 4264, 4266, 4268, .4274 Boulder Ridge Pt unit
Name: Boulder Ridge Townhomes Phone: 612-290-3055
'Rsideilw"
;Owner" Address City / Zip: 4264, 4266, 4268, 4270, 4272, 4274 Boulder Ridge Point
Applicant Is- Owner x Contractor
-1-4 x
!e;Atwrlr Description of work: Repair only siding eices that are darrigeed. 235
Construction Cost: 12,956 Mufti-Family Building: (Yes /No X )
;M:::<~„U: y,< W~ u <,;•:y:.
Company: PCS Residential--- Contact: uh~1f Hanna
LS W;:1
Address: ?nnS pin nalr Drive City. -Fagann <a
:a y4; State: M Nzip:
22
Phone: 651-255-0609 '
W. 110:
License BC593158 Lead CerUflcate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional Information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan Issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
• 'I
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer S Water Contractor: Phone:
NOTE•`Plans ancfupportmg documQnis tfia't u su~m afis cortTed'to be pelbll'rrifprmafio Pditlo s:o
it sd
the inlb itt
align ma b ecl "
al" as nbn p bi c ~f yqu pFOVide s eclf~a reason$ that wbcrlc►permrt it a CftY tQ it 1
u connlt~tle that e v
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 45"002 for protection against underground utility damage. Call 46 hours
before you intend to dig to receive locates of underground utilities, wNw.Qooherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work Is not to start without a permit; that the work will be In
accordance with the approved plan in the case of work which requires a review and approval of plans. i
Exterior work authorized by a building permit issued In accordance with the Minnesota State Building Code must be completed within 160
days of permit issuance.
x Patty Hanna/PCS Residential X Q!Lw~La 'U\v AP:
Applicant's Printed Name Appl cant' aturs
I
Page 1 of 3
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